...Plastic surgery is common things among people nowadays. The cost incurred to do the surgery also not too expensive. Mostly we heard female are desired to do the plastic surgery but now men`s also desired to do the same thing. There are the reasons why people choose to have plastic surgery and the several risks involved. The first reason why people choose to have plastic surgery is low of self-confident. As we know, have many factors why people feel like that such as their body appearance, ugly faces, and so on. Even though they always do exercise and try to cut their eating, their bodies still same and not have any improvement. As Van Dusen (2008) pointed out in her introduction, they do not think they look as good as they feel before do plastic surgeon. Other than that, the reasons why people choose to have plastic surgery are to improve their looks appearances. Of course, for those people who are fat, will hope to be slim further on to easy build their level of self-confident. According to Van Dusen (2008), ‘spare tire’ are involves in the typical male demand. Furthermore, some other people choose plastic surgery because of want to be like their idol celebrities. Meanwhile, the first risk may occur to those who are choose to have plastic surgery is temporary numbness. As we can see, people who had doing the surgery was effects on their face are become too stretched. For instance, when their smile or laughing the skin in their face was became stretch. Some other people...
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...Financial Statements Review Ashley Dunn HCS/405 November 14, 2013 Robert McDaniel Financial Statements Review The Patton-Fuller Community Hospital is a full-service, for-profit hospital with 600-beds. Since 1975, the hospital has made every effort to provide advanced patient care for both inpatient and outpatient treatment in Northwest valley. The Patton-Fuller Community Hospital is owned by a 14 person board, in which 12 are active physicians. Collectively, the board works on a budget that best aids the board and the hospital. The goal is to make a profit while providing patients with the best care around. This paper will discuss the summary of the financial statements issued for the Patton-Fuller Community Hospital in the years 2008-2009 (Patton-Fuller Community Hospital, 2009). The effect of revenue sources on financial reporting at the hospital will vary depending on the amount of revenue being generated and the specific source of the revenue. Revenue sources should be included in financial reporting for the hospital's records. (“Telemedicine”, 2013. According to the documents provided, it look as if the financial officer had over-estimated the list in payment remittances, making it seem as if they would be healthier than they actually are. When providing figures for accounts receivable in 2009 the financial officer projected the total at $59,787, with a net allowance for bad debt for the same time-period at $10,757 while the audited account shows a...
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...Task 1(A) Global Marketplace Activity (A1) Being the largest hospital corporation in the world, with over 160 hospitals, 100 surgical clinics, and a never ending amount of specialty facilities, supplies are an essential component to the successful day to day operations. In the event that those supplies were not able to be delivered on time, the possibility of not being able to provide properly for our patients would be immense. And with the company receiving certain supplies from all over the world, it is very possible that due to measures beyond the hospital corporations control or the supplying company that delivery of supplies could be delayed due to inclement weather, natural or manmade disasters. This in turn could have a substantial impact to the quality of care provided and received. In addition, the hospital corporation is also a key component to several ongoing research projects for treatment, cures and vaccinations for various diseases and infections, all of which rely on the supplies provided by other research facilities or specialty supplies provided by specific supply companies who could be impacted by these potential disasters, which would debilitate and prolong the success of the research projects effected. Risk Source (A2) The source for the first risk identified would be nothing more than age and continual use. The boiler at the Disaster Recovery site is the original boiler for the building which is approximately 50 years old, and even though the...
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...Inventory Systems Summary QRB 501- Quantitative Reasoning for Business /MBAA0PUHA2 June 7, 2010 Inventory Systems Summary Inventory characterizes one of an organization’s largest operating cost and the maximum prospect for improving profits. With inventory systems, organizations are able to centralize control of inventory across today’s multi-channel environment. Each team member will describe his or her inventory systems with the advantages and disadvantage of each system. Description of Each Inventory System Sage Accpac Inventory System Crossroads is a 501(c) (3) nonprofit public benefit corporation that has served the Sacramento region since 1978 with specialized employment and placement services, and custom-tailored facility management solutions (Crossroads Diversified Services Inc., 2009). Crossroads consist of two divisions: Crossroads Employment Services concentrates on finding employment opportunities, responsible for governmental and commercial services. Crossroads use Sage Accpac for the organization inventory system. Sage Accpac provides the organization with a strong accounting and reporting potential with a flexible, yet affordable system. Sage Accpac inventory system that helps organization manages operational, accounting and customer relationships. The Sage system allows Crossroads accomplish more with few resources, allows Crossroads to grow quicker and saves the organization time and money. Sage manages IT cost, facilitates a secure system with accessible...
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...Case #1: Brigham and Women’s/Faulkner Hospitals This case takes an in depth look into the evolving medical industry. Key aspects of this case focus on the benefits and drawbacks of a merger between large and community sized hospitals and the possible cost subsidizing that may occur and the impact the qualitative factors may play in such cases. Overview of Industry: Health Care costs began to rise while insurance reimbursements began to fall. This led to a larger amount of patients being treated on outpatient basis. This aided in temporarily curbing the costs associated with overnight patients. AMCs therefore focused on primary care as means of reducing operating costs. Thus a lot of emphasis was placed on cost control. Managed Care plans lead to capped fee for hospitals. As a result, BWH saw a drop in incoming patients. AMCs thus focused on primary care as means of reducing operating costs. Community doctors were reluctant to recommend AMC doctors, instead sent patients to less costly hospitals. The solution seemed to be pointing towards possible mergers. The mergers’ purpose was to achieve Economies of Scale and also get access to the patients and knowledge of community hospitals and fill the gap where the large hospitals lacked market penetration. OUTLINE OF BWH HOSPITAL: Largest hospital in New England. Often ranked as best in service. High end teaching hospital. Employs more than 12,000 people with 44,000 patients. Annual research budget of $400...
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...Working in the ward has made me to appreciate life the more and never to take anything for granted, during my placement I saw a lot of patients suffer from all kinds of illness that I never knew existed, some of them crying for pain killers because of their pains and some with stab/gunshot wound. I have also seen people die during my placement, for example, there was this incidence that happened on a night shift where a patient was admitted to the ward through accident and emergency department, the doctor asked for his vital signs to be checked hourly because of the nature of the patient’s illness and because the patient was staying in the bay that I was looking after that night, I was asked by the nurse I was working with to check the patients vital signs hourly and to report any changes to her. The patient was ok the first time I went to check on him but when I went there the second time I noticed that he was not breathing and his body was cold, I pressed the emergency buzzer and all the nurses came to the patient’ bedside and within five minutes I saw more than six medical doctors coming into the ward to check if they can resuscitate the patient and that was the first time I saw a patient die so suddenly and the crash trolley being used. The whole experiences of that night left me in shock because that was my first time of seeing someone...
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...Do X-rays Requested By Triage Nurses Decrease Waiting Times? Research in Health and Social Care Introduction: Since 1991 when the patient’s charter (Department of Health 1991) was introduced, Accident and Emergency (A&E) departments have been under pressure to see, treat and discharge patients within a certain time period. In 1991 75% of walking wounded who presented to the department had to be discharged within one hour. It was subsequently changed in 2004 when the government decided that 98% of all patients attending an A&E department should be in the department no longer than four hours (Department of Health 2004). And again in 2011 when the department of health introduced the clinical care indicators that relaxed the target to 95% seen, treated and discharged or admitted in 4 hours (Department of Health 2011). Triage nurses within the accident and emergency department are one of the first people to assess the patients who present with an injury or illness. The patient’s condition is assessed and their need for how quickly they require treatment is prioritised. Triage nurses are usually experienced A&E nurses who have many years A&E experience (Dolan et al 2007). Patients are then placed in queues to await assessment by a Doctor or Emergency Nurse Practitioner. Once seen they are then put in another queue to await x-ray if necessary before waiting again to see the doctor/ENP that will interpret their x-ray and decided on the best course of treatment...
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...Liposuction? Liposuction may be performed on the abdomen, hips, thighs, calves, arms, buttocks, back, neck, or face. A liposuction procedure may include more than one area, for example, the abdomen, arms, and thighs all on the same day or various areas that you choose. Liposuction is also used to reduce breast size in men with large breasts (gynecomastia). Who performs a lipo? Liposuction surgeries are performed by plastic surgeons. Any licensed physician may perform liposuction but it is recommended that they have special training Where can you have a procedure done? The procedure may be performed in a doctor’s office, surgical center or hospital. Transition: But keep in Mind that it is important that it be performed in a clean environment. Emergencies may arise during any surgery and access to emergency medical equipment and/or a nearby hospital emergency room is important What to expect during Liposuction and after? During the procedure the physician will mark your body with a pen to indicate where the fat is to be removed. Then you will receive anesthesia which is medicine that prevents you from feeling pain. Once the anesthesia is working, the physician will make an incision in the area where the liposuction will be performed. A cannula which is a hollow tube will be inserted into the incision. The physician moves this cannula back and forth to suction out the fat....
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...staff 1 week after discharge. Primary end points were readmissions, emergency department visits, deaths, costs, and quality of life. RESULTS: During the 24-month follow-up, there were fewer mean emergency department visits in the intervention group than in the control group (.68 vs 2.00; P = .000), fewer unplanned readmissions S14 www.heartandlung.org NOVEMBER/DECEMBER 2010 HEART & LUNG Aguado et al Educational intervention in heart failure patients readmissions, emergency department visits, and deaths. The impact on healthcare costs and quality of life measures is also assessed. MATERIALS AND METHODS Design We previously5 described a randomized clinical trial performed at the Sagrat Cor University Hospital (a 400-bed urban teaching hospital). The trial included patients admitted to the internal medicine and cardiology services between July 2001 and October 2003 with systolic HF according to the Framingham criteria. All patients were in New York Heart Association (NYHA) functional class II to IV and had left ventricular ejection fraction (LVEF) < 45% on echocardiography performed during hospitalization or in the previous 6 months. All patients consented to participate in the study. Patients with dementia, neoplastic disease, an episode of...
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...Caring Hospice Business Plan Bonita Lewis Central Methodist University COMPANY SUMMARY/CATCHY-SELLS Caring Hospice is a new hospice company in its start-up stages. It will offer compassionate and caring end of life care for terminally ill patients and their families in southeast Missouri. The company name “Caring Hospice” is catchy and easily remembered by consumers. The name indicates that this company will care for dying loved ones. MARKET ANALYSIS Caring Hospice will be located in Poplar Bluff, Missouri. This is the southeastern region of the state. It is comprised of poor communities where residents often are forced to travel as far as fifty miles or more for adequate health care. Market research shows there is a significant need for quality hospice care in this region, with only six competitors that travel to the homes of patients living in the rural counties (Yellow Pages, n.d). Caring Hospice will thrive for years to come simply due to the fact that it will bring care to the patients in their own homes. FINANCIALS The start-up budget includes a list of expenditures (Henderson, 2003). The expenses will be compiled of operating and non-operating costs (Dunham-Taylor & Pinczuk, 2010). The start-up costs will be paid with a new business loan the first 90 days. After this time, the business will be able to support itself with revenue from billing to Medicare, Medicaid, and private insurances (Hogan & Hartson, 2012). The estimated beginning...
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...Microfracture surgery is not a perfect solution to repairing torn or damage cartilage but it is the preferred method to repair knee cartilage. It has been performed on many professional athletes who have seen their careers continued on with the advancements of medicine. Microfracture is used as a surgical option for a patient who is diagnosed with damaged cartilage and is in need of treatment to correct the deformity. Microfracture is performed in an attempt to stimulate new growth by the cartilage. When it was first used, “Microfracture was originally developed for the treatment of acute traumatic cartilage defects. It is generally indicated for traumatic and degenerative focal high-grade chondral lesions of the weight-bearing femoral condyles, trochlea, patella, and tibia” (Mithoefer, K., & Steadman, R. J. (2006). The Microfracture Technique . Chestnut Hill, MA). There are many factors to assess before a decision is to be made to have microfracture surgery or not. Some of the factors to attribute to the decision but are not limited to whether a patient has limited areas of cartilage, pain or swelling caused by damage to the cartilage and patients who are active participants in sports or activities but are not limited due to their symptoms. Patients who are not active in sports or activities, unwilling to participate with rehabilitation following surgery or have widespread arthritis in joints. It is very important to ensure that a person is thoroughly evaluated and given...
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...in the medical field. I worked in Same Day Surgery, Squadron Medical Element technician, and Ambulance Services. Same Day Surgery is a facility that handles in and out surgery. Our job are to prepare patients before surgery example are to getting information of the patient history, start Intravenous access, and make them change to this wonderful hospital gown. We only handle minor surgeries for examples taking out mole, colonoscopy procedure, endoscopy procedure, circumcisions, and etcetera. Squadron Medical Element technician is a job that works with Independent Duty Medical Technician. We are assigned with the Fighter Wing Group as their medical personnel. If the pilots deploys for war or practices like Red Flag exercise, we go with them. We make sure everybody is healthy and ready to deploy. Our main focus is the pilots and the mechanical crews that handle the plane. In our group, we have a Flight surgeon, a Squadron Medical Element Technician, and an Independent Duty Medical Technician. Our job in Ambulance Service is to respond to 911 calls and transport patient to Fort Wainwright Emergency Facility or Fairbanks Medical Hospital. We also respond to exercise and inspection drills. Most of the Air Force bases in lower 48 and overseas don’t have emergency facility. Either they transport patient to an army base facility or civilian emergency facility. Why I continue serving in the Air Force? To be honest I was ready to leave the...
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...Marion and the Pacemaker Marion is a 92-year-old patient who weighs 79 pounds. She has had poor eating habits for at least ten years and has refused all attempts by her daughters to improve her nutrition. In addition, Marion had been a heavy smoker all her life and suffered frequent respiratory problems. During the past two years, she has become quite forgetful, has suffered a broken hip as a result of a fall out of bed, and has been treated for pneumonia. Her daughters, who have their own family responsibilities and cannot bring their mother to live with them, found an excellent nursing home near them run by Catholic nuns. In spite of Marion’s protests, she entered the nursing home. During her third week in the nursing home, Marion develops a cough, high temperature, and respiratory problems. She is hospitalized with a diagnosis of pneumonia. Marion immediately becomes disoriented and attempts to remove her intravenous and oxygen tubing. Since she tries to climb out of bed, her daughters must remain at her side. The attending physician tells the daughters that in addition to treatment for pneumonia, Marion will also need to have a pacemaker inserted to regulate her heartbeat. However, Marion would then be unable to return to the nursing home, since the facility is not equipped to care for someone recovering from surgery. After thoughtful discussions with other family members, Marion’s daughters tell the physician that they do not want to put their confused mother through...
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...Decision-Making Case Study Bonny Kimberlin HCS/514 February 11, 2013 Vinnette Batiste Decision-Making Case Study The truth of the matter is there is no longer such a thing as “middle class” Americans. The sad reality is either one lives in the low-income bracket living check-to-check, or one lives with no worries in the world. Even more sad, is that the lower-income class bracket also includes the elderly, disabled, homeless, and unemployed. Not to sway away from subject but this country allows men and women to gross millions, some even billions of dollars to hit a ball-around a big stadium, or a puck around on an ice-rink; and yet government insurances scrutinize a doctor’s request for an elderly or disabled person to receive a wheelchair. There is something seriously wrong with this picture. Another perfect example a brain surgeon, and scientist making less salary than a baseball player and yet they save lives, and find cures. Many become angry at the mere thought of the homeless, disabled, and mentally ill leaving on the streets, and yet it seems the one program that helps the lower-income bracket Americans is the one program that keeps receiving budget cuts, restraints, and reduction in services. Affect of Budget Cuts According to Curry (2013), “The new health reform is said to bring “massive automatic cuts” and “deep indiscriminate cuts” too so many departments and programs it is a wonder doctors or...
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...A variance report is a way for business executives to gauge their company's performance by comparing one set of figures to another. This usually means comparing a planned amount to an actual amount. Companies use variance reports to analyze how close they've come to hitting the sales targets or to see if they've met their budgetary goals. A well-rounded budget variance report will address trends, overspending, and under spending. In the healthcare field variance reports are used in every department of the hospital. Each unit of patient care has a limit and goals that need to be met from the administrators’ position. The framework for cost control is following two approaches is possible: preventive and detection-correction. ( ) On the Intensive Care Unit we are given a strict budget and we over this month. We have to explain why it has been over budget. The Intensive Care unit is an area with very heavy workload and requires a two to one ratio for the care of the patients. With the budget and the twenty five bed floor we are allowed thirteen nurses a shift for the care. In our staff we have eighty-one employees staffed on our roster. With this being said we have many days when or staff is in overtime, which hurts our budget each month. On our unit we get some patients who then turn to one on one patient and at that point we are paying extra for them to be on staff. Changes in our census are another thing we work on as a floor, and try to manage at full census to allow us the...
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